Attch_22_Financial_Responsibility_Questionnaire.doc

ATTACHMENT 22

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

Request for Proposal: FA2823-15-R-4002 SABER Indefinite Delivery Indefinite Quantity (IDIQ), Eglin AFB, FL 32542

BANK NAME:

BANK ADDRESS:

SUBJECT: Financial Responsibility Questionnaire for Solicitation FA2823-15-R-4002, SABER IDIQ at Eglin AFB, FL.

1. How long have you been doing business with

(Contractor’s Name)

2. Do they have any loans outstanding with your institution? If so, have they ever had any payment problems?

3. Do they have a line of credit with your institution? If so, what is the pre-approved balance?

4. What is the average revolving monthly balance in checking or savings account with your institution? This does not have to be exact, but we would like to know if it is in the 3, 4, 5, 6, etc figure range.

5. Would you continue to do business with in the future?

(Contractor’s Name)

6. The above inquiries provide basic financial responsibility insight, but if you would like to add any further information that would help us determine positive / negative standing, please feel free to comment.

Completed By:

Position:

Date:

E-mail or Telephone:

Signature: